HomeMy WebLinkAbout91-1201
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1201~
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Type of Permit
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~UIL~ING .
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Date
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Legal Description:
Sub.Div.
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Property Owners Name:
Job Address: -5> F,:::) '-,
Lot
Blk.
Zoning CI:
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Description of Work)\..'~ 1Vf"./1 _
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Energy Code Readout:
C~h 3-1-0;1 ~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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OCCUPATIONAL LICENSE #-.:;-.Nfl}--,L /; W~
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Ftr. SLB
Pre SLB Tub Set
Lintel VVater
FRM. Sewer
Insul.CL Final
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COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
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ME~NICAL
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Tp.Serv.
Rough In
Meter Can
Canst. Pole
POOl
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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Proposal No.
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Proposal Submitted To
Work To Be Performed At
Name
Street
City
State
Telephone Number
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Street
City
Date of Plans
Architect
State
We hereb~ propose to furnish the mat.ejfiJts and p~rform the labor necessary for the completion of
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All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars ($ /) <y'{' '/'0 )..
with payments to be made as follows:
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Any alteration or deviation from above specifications involving
extra costs, will be executed only upon written orders, and
will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond
our control. Owner to carry fire, tornado and other necessary..
insurance upon above work. Workmen's Compensation and
Public Liability Insurance on above work to be taken out by
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Respectfully submitted I,;.., "
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Note - This proposal may be withdrawn
by us if not accepted within
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The above prices, specifications and conditions are
specified. Payment will be made as outlined above,
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ACCEPTANCE OF PROPOSAL
satisfactory and are hereby accepted. You are authorized to do the work as
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Signature
Date
Signature
TOPS FORM NO. 3750
LITHO IN U.S.A.